Patient Access Rep IV - Central Authorization - Full-Time, On-Site, Days
About The Position
The Patient Access Rep IV is an expert-level role responsible for admissions activities, including pre-admission and face-to-face patient registration for treatment. The position facilitates access to Cedars-Sinai Medical Center by collecting demographic and financial information, completing registration and preregistration, verifying insurance and eligibility, screening for Third Party Liability, and securing patient deposits such as co-pays and deductibles. As a subject-matter expert and go-to resource, the Patient Access Rep IV can support department leads and supervisors in coordinating workflow and work in any admissions area without additional training. The role requires competent performance of core duties and sensitive, attentive interactions with the patient populations served. The position is remote-eligible after successful completion of on-site training; the listed tentative schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m.
Requirements
- High school diploma or GED.
- Three years of healthcare experience in Patient Access, Registration, Financial Clearance, Scheduling, or a Revenue Cycle-related role.
- Strong customer service experience.
Nice To Haves
- Bachelor’s degree in Hospital Administration or equivalent.
- Experience in the required healthcare areas within the department or Cedars-Sinai health system.
- Certified Healthcare Access Associate (CHAA) certification upon hire.
- Expertise in insurance verification and authorization submission.
- Proficiency with EPIC and EMR systems, including medical record and chart review.
- Medical coding certification.
Responsibilities
- Perform pre-admission and face-to-face registration activities for patients presenting for treatment.
- Obtain financial clearance and determine patients’ correct financial classification; verify insurance for government and non-government accounts electronically, by phone, or through insurer websites.
- Search for an existing medical record number or assign a new one without duplication, following the Patient Identification Policy.
- Select physicians appropriately and identify, handle, and resolve physician privileging or suspension issues.
- Interview patients and interact with them sensitively and attentively.
- Handle inquiries independently, escalate issues when appropriate, and follow through to resolution with appropriate management notification; make sound decisions when management is unavailable.
- Explain patient financial obligations, collect funds, meet or exceed cash collection goals, and reconcile petty cash when applicable.
- Coordinate with physicians and specialty departments to ensure accurate registration information and account adjustments.
- Navigate the hospital ADT system and associated systems and enter patient and financial information accurately.
- Train front-line staff on forms, explanations, signature procurement protocols, and applications used to manage patient accounts; assist staff with patient inquiries and system questions and help the customer service team with challenging situations.
- Prepare business correspondence, reports, and spreadsheets upon request.
- Develop and maintain courteous working relationships with peers in client departments.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
